NPI | 1750686341 |
---|---|
Doing Business As | TODD WILLIS MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | LAWRENCE GRAEBER CEO 601-663-1360 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-01-13 |
Last Update Date | 2011-01-13 |